| NPI | 1447457569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN CANDELA Director 586-753-0402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional | |
| 103TC0700X Psychologist Clinical | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 251S00000X Community/Behavioral Health (Licence: MI 6301012297) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2022-06-20 |